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FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219646 Date JANUARY 9, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2970 ORCHARD ST. ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 27 Block 03 Lot 2.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 11, 1989 pursuant to which Building Permit No. 184242 dated AUG. 23, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH AN ATTACHED GARAGE, DECK AND COVERED PORCH. The certificate is issued to JOHN & DIANA PRIZEMAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-79 DEC. 31, 1990 UNDERWRITERS CERTIFICATE N0. N160594 NOV. 14, 1990 PLUMBERS CERTIFICATION DATED PERFECTION PLUMBING DEC. 7, 1990 Bu lding Inspector Rev. 1/81 soss xa s TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 18 4 2 4 Z Date ~~~:3 19...~.~~. Pssion 's~ ere anted to: n J ~ _ „ ~j~,,~ ~~/C~i ~ / ~.P to..~~~.R.,,..~........~.... at premises located at .f>.~•`•••........................................................... County Tox Map No. 1000 Section Block ......:3.......... Lot No......~`..1.~..z...... pursuant to application doted ......C~~~„~ 19~~, and approved by the Building Inspector. .Q/ U Fee 5 (U ij~ i uild Insflec r Rev. 6/30/80 ry~ R ~ tC . 1'~ L5 305ETSOOFHPL.INS , J~jQ'.K~ !~?K.2~ce D FORM N0.7 SURVEY Q~. I,~•..... TOWN OF SOUTHOLD CHECK ~a~ . i BUILDING DEPARTMENT SEPTIC r• Dart . . TOWN HALL ~4t!!aQn. EOUTHOLD. N.Y. 11~J71 NOTIFY TEL.: 7651802 CALL . ~l~:.G~,y~;~,e~~ Examined .t7~~.~........., 19Q~' MAIL T0: Approved t~/.2?. , 19~/, .Permit No.~~'~.f~. Disapproved a/c . ~ildi nspector) APPLICATION FOR BUILDING PERMIT Date 15 . INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No buildin; shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Re;ufations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housi ode, and regulations, and to admit authorized inspectors on premises and in building for necessary nsp lion . (Sim' attire of applicant, o ame, if a corporation) I31. ~~lCkS .5:7.7 $~v.~l.~irY!v.!~.`l: . ' (Mailing address of applicant) ~ ~ 2 (j~• State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~:4N.~~~:.~!".''~~!J~~..AF?L.=:~'. 34~,nv~. ~'Of{N ~P-lz~Mr~~+? (as on the tax roll or latest deed) WILL OWIS/I=/z- lf applicant is acorporation, signature of duly authorized officer. (Name and title of cor~~pjjorate o//fficer) Builder's License No. `.T:'. ~.v . Plumber's License No. . ~O ~ " Y .uo Electrician's License No . S°~ Otfter Trade's License No . . 1. Location of land on which proposed work will be done . . . a.q.'7o ...........o~cM~1?~..srR~ET.......on!~'~!.?~....tiy............ I[ouse Number Street. ~ ~ Hamlet ~3 County Tax plop No. 1000 Section Block Lot ~t . Subdivision . Filed t,lap No. Lot . (N;une) State existing else and occupancy of premises~/and intended use and occupancy of proposed construction: a. Existing use and occupancy rl.~~:~d. . . b. intended use and occupancy ......,.~~F•..~'~el.1.G~,,,,.~a(/~~ 3• Repsir of wor4, checl. which) , ' ( applicable): New. Uuilding , . V, , , , , addition , rUtcration Rcknoval Demolition 4. Estimated Cost . /00 ''aC10 (Dascrip[ion) r', Fce ' (to be paid on filing this application) 5. if dwcllin^, number of dwcllin If ^ara^e, number of cars , • ¢ units , , , , , , , ; , , , , , , , Nttmbcr of dwcllirrg units on each floor....... , , ~rV~ 6. if business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7, Dimensions of existing s[ructur,es, if any: Front , , , , , , , , , , , , , , ,Rcar ' ' Hcigltt NuRtber of Stories . • . Depth . Dimensions of same structure with alterations or additions: Front • • • • • ' ' Depth .Tlcight. Rcar.................. ' ~8. Dimensio s,of entire new const~ntction: Front . , ~~,r. ~ • • ' ' ' ' • • Nurnb~ QfrStories , , (1 •sL f. . Height ~O~N gi{5~/ry~,t,1NY tuber of Statics . ~2-, Rcar Depth . 9. Size of lot: Front Rear • t 10. Date of Purchase ~.'V ~j ~ , f~J.t ~Dcp~ ~~r~~~ • ~ Na ,e~,.o,f Former Owner LD~•~S p ~ ~P.fV,t. (u1y'f,5 1 1. Zone or use district in which rc}nises arc situated /'~~1,1?~~~CIT' ~ ]2. Does proposed construction viof~te any zoning (aw, ordinance or rc ulation: 13. ~Villlotbere;raded g ••NQ•••••.•........,.•~•~•••-• i ~ 1Vill excess fill be removed from remises: e 14. Name of Owner of premises F¢N ~ 2~ ' ' $ 5 P ~ No Name of Architect . R•a~~(~?`: .`~~Address .J.3 I {jlG1 f ~,~4`y p}tone No.7/,FS•CQ?¢D ~ ,address BUN4f1L4a! r ~~~F'.NPhone No3-1.(~.~~rd„5,7,7A.. Name of Contractor ~~~r,~,S,,~Qv~ , ,address , /`~q'T7'r ' IS.Is this property located within~00 fecC of a tidal we~.~aon*No.~.~'z55,r•~77a *If pes, Southold Town 'Trustees Permit may be required. YES " -•NO PLOTDIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to decd, and show street names and indicate whether interior or corner lot. Na1Kc~r or- Dar~tir rawN or= suu'T1+o~D, u~uli1~1 o'r- sv~-auc ORCFtARD Sl'RE~7` ANO SrAT"F ©fi Alf^W yaPK ' S 85°40` 44" rrsr BCGI/JNIfJSi !aT'A LolJGR(_-1-G MONU!'1FNT • 5r_-T 1N Tr1~ sovrr+ERcy uNr OF ORCHARD STRCETMARKtNG't•F;`E~ltyrLTffF,q~-ER~y c02Cr~R oFta4N~ ' Of- r1+C- PARTY dF T(tE f=1h5T GAKT~, AND 2v~rnrruC 'THt;JVCE SOUTH z.Z°56'i;o"wESTr Q-31~1bF~~T-T"c? AMOlJUMF..IJTMA2iClRla"71f~ SOUT}1Wl=ETC=RL`f CORnl~tl OF ' ND Nt9W aR (rof~MER4Y o~ DEV4~; Ru,v~~1~1GT1-Ir=,ucivmrtTl+ b~°d9`J~`tW~Sr, ,+l I I S.© i=F_GT- AGDUG Tµ~ NO~.'~'Hr~RLy c.IIVE OF LAI.ID Aeroetl ~ ~ "vK FORMFt'ty of ViLNR i;'SrArFS, GIrG. RE',vNl/JG THENCE hfd(C'T7~ 22°5~,Sr 3Q~ ~r4ST i A,z$ ,/O F~~i 729 f? CONCRETE °a° , MQ,VVIhEIU't- JN THE SoUT(t~R-G•y 41~V~ OF DIzCfFh(~D 57P~~t; ~ M - TN1=_NC~. ALdiV ~ Sal p sov-rNCtzi_-I ~.)ivt~ of a RcNAR!> STRBr'T- ~'r SOUTH b~ ° q~D' q-o' SST t )'1 S-, O I ~G"~ I Tp TI'}E fQO r.vT OF I ` `n PG,AG$ Q1= $ECj(NNINCr. I 30"~ PERMIT IWCWDES APW~tOy~ ~ T© REMOVE EXCEBS Flt) ~ ~ FROM A80VE PREMISE8 BY o aiEGRA01N0 LOT ~ ~ M fNtIVEWAV CONSTNUCTIOM t" w Ct«S$PgLf?. CONSTRUCTION ~ °v 4' ~ ° SLATE OF NEtV YORK, N ~4 a9' lo'vr rr5r S.S I, COUNTY OF . . I (flame of individual signing contlt ' ' • • • being duly sworn, deposes and says that he is the applicant above named. act) IIc is ttte . ~ ' (Contractor, agent, corporate officer, etc.) • ~ ~ • ~ • • • " " ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this -Pplic;ttion; that al! statements contained in t;tis application arc tare to the best of his knotvlcdge and belief; and that the work will be performed in the manner set forth in the application Glcd therewith, 'worn to before me this I Gy ~p~~~~~ ~ aJ ;otaryPublic, ....~..I,l.;. kJ..G.Y~.... County , NOTARY P 9UC~Sbta to~dew Yak ~ • ~ ' ' ' ' tda 1707878, Suffolk CouM~,* r • • ~ • TurpExpireaMnch30,1 =TJ (5i^ tureofapplicant) Form No. 6 ' TOWN OF SOUTHOLD O k" BUILDING DEPARTMENT ~n7i TOWN HALL ~A~\\~D ~ ' 765-1802 U V6~~-^~3i ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY t " This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept, of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. , 6, Subrmi.t Planning Eoard Appruvai of completed site plan requirements. 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1T5.00, Com(myer~cyi/al $15.00 Date ~.V~1.. ~ ( %1 ';ew Construction......... Old Or Pre-existing Building b ~ Location of Property... , , , oJzC D srr~~ J _ Q~L/,E(t1"J- House No. r `7 Street Hamllet 7nwer or Owners of Property....~.aLJ,!Y.,l~„~~l,~;N~_,.~~~~,Z-~~'(/7"~............ County Tax Map No 1000, Section..o2:~.....Block. 0,~:, Q, ~,,,,Lot.Q.~2:!.00~,,, Subdivision...n... .F~iyl~etd Map............Lo/t~./y.,(/ ,~J /"J Permit No I ,Date Of Peryiit..~VTC1..~(, ,Applicant.. ~V. E'!!~! . ; (~N !lealth Dept. Approval .............../...........Underwriters Approval.. , ' ~i Planning Board Approval bequest for: Temporary Certificate........... Final Certicate....~..... Fee Submitted: ~ ~ ~ ~ ~w ~/0 99 k 9/i~9/ . L+~ Z/~~~~ .G' APPLICANT ~vFFQU~C TEL. 7G5-1802 0~0 O? TOWN OF SOYJT~O~D f"':. l~ti~t!Y . < OFFICE OF BUILDIi•IG INSPECTOR ,=r, P.0. BOX 728 $ TO1VN HALL ~ ~ f ~ SOUTHULD, N.Y. 11971 (I''LS T I F I C A T I O N I ~J _ ii j~lll;+ 7~ ICJ! t} s~s~.; ~t~;-----x!11, /a~ ~90 70t~31v OF SOUTFIOLD s Date 7 Building Permit No.~~Slp?~j/ Z Owner ' ~ RiZc`rra~,~ (please int) Plumber ~ io a~w ~ti a ~ (please print I certify that the solder used in the water supply system contains less than 2/10 of l~ lead. (plumber's signature) Sworn to before me this day of ~eu~~.oM , 19~, °J Notary 1c Rotary Public, Sv~\~ County ~ MKtt EqM r'iELD I.;S:'"~::.,.. jIJ;,:E ;;OMMLNT~ ~ - o - m~ . ~ ~ FOUNDATION (1~ ~II - M ` FOUNDATIOtJ (2nd) 2. I -S o QS P,OUGH FRAME & 0 PLUMBING 3 . ~ ~ INSULATIOPI PER N. ~'P. - ~ STATE ENERGY \ CODE r 4. ~ O m "3 FZiJAL ~I ADD I DIAL COMMENTS: a s ~ ~ _ ~ m x 'ti ' ~ H \ 9 a u H H O ~ m _ ~ H x "3 v I THE NEW YORK BOARD OF FIRE UNDERWRITERS }'I~s;!.; ],i}[I ].Q71 BUREAU OF ELECTRICITY 8S JOHN STREET, NEW YORK, NEW YORK 10038 Dote Mi~VE!%HEF }~"1 ~~i1 APPlication No. un file f'%f)1.114(1/`IO P~ '{6€}~i9i} THIS CERTIFIES THAT only the electrical equipment as described 6ebto and introduced 6y the applicant nomad on the above application number in the premises of _ ISC~HZd PB1ZRtNAN, 1?RtJHARL~ IIA., DRIFN'('. N.V• in the ollouin location• ~ B amen[ ry~ I,AN ~(}(IT LJ let FI. ~ Ind FI. Sertion Block Lut e=i f " NutikiHFi~:N $aFi, 1994 una examined on and found W 6r in compliance with the reyuirenrenta of this Buard. Vii' NXTURE PIXTURES RANGES COOKING DKKS OVENS DISHWASHERS EXHAUST FANS WTLETS KE7TACLES SWITCHES INCANDESCFNi. RVOIIESCENi OTHER AMT. K.W. AMT. N.W. AMT. K.W. AMi. K.W. AMi. M.R 2' DRYERS FURNACE MOTORS FUTURE AFPUANCE FEEDERS SFECIALRK'?T TIME CLOCKS BlIL UNI7 HEATERS MULTI-0UTLR DIMMERS AMT. K. W. Oll R. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. AMT, AMPS. TRANS. AMT. M, r SYSTEMS AMT. WATTS NO.OF FEET 3 SERVICE DISCONNECT NO.OF 5 E R V 1 C E t AMi. AMP, TYPE EOUIF I tee' tW I a RW 3 R TV 3 X ~W NO. OFER gCOND. Of CC. COND. NO. OF N4lEG Of X IEG NO.OF NEUTRALS OF NEUTGRAI ~ { _ L 2CtU fP L X 3 4/~a ~ ~/U E a OTHER AWARATUS: r sl T: a G & 5 i'ORTRAC'COR L1C.#57t?R ~ BCs% 215 SOIJTHC~(i17, FiY, 1.1571 MAN 11 r=f Per ` This certificate must not be altered in any manner; return to the office of the Board if incorceN. Inspectors may be identified by their crodentiols. - ~ CO F BUILDING D BE ALTERED IN ANY MANNER. 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INS TION [ ]FRAMING ( FINAL REMARKS: ~"'z-w e--c . DATE ~ INSPECTOR - BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. ` [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~NAL REMARKS: 8*-r _ - ~ ~ (M 9- DATE O a~ CO ~ INSPECTOR / ~ 765-1802 G BUILDING DEPT. INSPECTION [ ] F NDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ~ ] FINAL, / REMARKS: h~ ~i~ DATE O ~ INSPECTOR U~v~ 765-1802 BUILDING DEPT. 1 NSPECTION [FOUNDATION 1ST [ J ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ J FINAL t REMARKS: .ra c~=~I I i /I~~,, DATE © T~INSPECTOR I, 4 l' rR-. ~ / CI ~~j~ 765-1802 o BUILDING DEPT. INSPECTION j [ ]FOUNDATION '1ST [ ] RO H PLBG. i [ ] FOUNDATION 2ND [ _ INSULATION [ ]FRAMING [ ]FINAL REMARKS: V -41 ~ - - I DATE ~ INSPECTOR r ~ ~ 765-1802 U BUILDING DEPT. 1 NSPECTION 'f [ ]FOUNDATION 1ST ROUGH PLBG. ] FOUNDATION 2ND [ ]INSULATION ' [~RAMING [ ]FINAL REMARKS: ,1~i DATE ~ ~ INSPECTOR ~ _ A,,dl~'li7`'r"~. TEL. 7G5-18~'_ `~c~,~ 0(,~{~Cl~ T0~'N UI~ souTlIOI,D /~a~~`~~ ' or1~u:E or GUILDING 1NSrrcTOa ~ ~ t"+~ ~ TOM~1 IIALL Off, fit' SOiITItOLD, N.Y. 1 1971 X41. r~' . December 3, 1990 JOAN A. PRIZEMAN 131 HICKS STREET BROOKLYN, NEW YORK 11201 To Ldhcm This May Concern, ke are unable r.o complete your Certificate of~Occupancy because of the folloc•riny reasons. /_r,// An application for Certificate of Occupancy is not nn fi].c. <ENCLOSED) ?lo Underwriters Certificate on file. /~'i'he checF: .i:; (~tXRJ[~iLldic~Xnot on file.) $25.00 D1o Health Dept. Approval on file. P:o final inspection has been mace. Plea:;r., r_ontact: our office on this matter. - Thank you for your cooperation. Ihtildin<J Pcrmi.t-. Q 1 8 4 2 4 Z F3uildit q Dept. `/~tlo Plumber Solder Ccrt.tficatc on file. ( al.l permits involvi.ny plumbiny beiny issuccl aFt.cr :1pri.1 1,1984 ) i I TERRACE DOOR ENTRY SYSTEM GLAZING OPTIONS I Mar Opp. 1.8Ye 43'7 4-SKa 4.9'7 S6% S9'ha ~ Rgh Opg. 1-5'Ye 4-0% 4334. 4$Y. S4'/. ~ 56"/ S10'/. FrermSVe td"Ae 31134 4-P.Sa 4.5% S3'/. SS'%ra S9V. S~~~ie ~ a'":-" Glass Srse it"hz" it"7x"22'/.° 11^h"20"/u 11'YU"2aY.' 11"hz"22Y."11 ^hz' 11`SSz'24"Aa"11 ^/c" 11 ^hz'2aY."11'Yc' wnh or wiOwulEP - m n n Segle ADL jS I ~ I w0nawsnoul EP i i ~ U - WTOPo46B WT0fl14-Z66B Wrpfl1d4666 WTtIR]d-3068 WTDR14-Z6fd-14 WIDfl14$e5&14 Wr0fl14-306&1d ~or9~utE CV ~rw°'" asTl oz LHI oxLw oxlHl azoLHl ozoLHl arotri ~~r TERRACE DOOR WITH RECTANGULAR TRANSOM 3.4-~nwblirg ' nn(j ~ Mes. Opg. 4~ S1'~~. 5E'h 6-1'aFe OPERATING MNEL IS VIEWED FROM THE OUTSIDE. u G R9h. Opg. 3-10 4-11% S4'h S11% Frame S¢e 3-9 4-tOYa S3% S10% G W7ofl74015 WTONT 5015 W1tIflT 5675 WroliT 6015 3'4"Imulatirg ADL CONSTRUCTION DETAILS Scale: 1 Vx" 1' ' ~ ~ I •Jambextensions(49/16"is standard) moo'- I ~ i ~ •Diamond or rectangulargrilles mm~ I •Screen, extruded aluminum surround in white or bronze i I ~ i e a ~I •Bored sash is standard) ' • Unbored door . r r ~ ~ \ ~ • Solid brass passage latch and deadboh WTDfl406e 0%LHI W70H50660x LMI WTDfl56660%LHI WNRfi0690%LHI ~ ~~i •Transoms(inClDdingarohes) ' ~ • Sidelites GLAZING OPTIONS: •(3/4"insulahngglass isstandard) ~I a c •Low Eglasswith Argon gas (one life only) • Solar bronze glass (one life only) o • Single glazing wRh or without removable energy pane. i ~ ~ \ \ S •Authentic divided fates, single glazing with orwithout o ~ emovabe energy panel i ~ Q • Authenticdivided liter, insulatingglass C 3 Panel Operalirg Jame • Wood combination storm and screen door with white. G WTDR OOx LHI brown, bronze or gray sunound ~O Note: Allglassktempered. ~ a.r ~ T""' ~ ~ ENERGY DATA ~ m un un arvrm .-I •i. cure we 3i. a n / 1 / ~ ~ WOOD TERRACE DOOR • -Masonry OPenmg- - i .Oi ~ v4--I_ --n4~ Sci.n.g,.k Glass DlUS Energy Pane, 1576 0.50 0.44 2.27 .O.~Y ~~r~ ~ sting Jamo / 1 . /.L ~ $pNfB 0 51 WTDR aro LHI ~ gaWa<rcg C>lats 12 0.49 0.44 2.27 .07 ' /G ~~'~V~A~6rFreme ConsVUCYion ~ IrLwlabn9 LOx'EWAh Argon L2 025 0.29 3.45 .Oi //~~J 6sne'James 1 kSWatig plus Combinatgn 12' 0.32 0.32 3.13 .Oi 2 J _ ~ Y l irz omveii~ ~ ~ hwY~ng lnwEw/Argon w' Canh. 12' 0.19 0.23 4.35 .07 I ~ O (p ~ 'Cgmbination (]r4'"airspace) Om ~ 1 r~- - n nm_.__-____ ~ ~ (J ~ Rnn9 9 A.I CaICWdIQO VdW2S f~Sed On.aWrenCe BerMei?~,.:.~dVin00n'd.: ® 2 Panel Ooeranng Jamc prograr' using ASHRAE Stanoaras WTDR OX LH' w _ _ _ ` g`, ~ EI YF,RFOItMANCE UATA t., l~ ~~r~"- _ _r TS/TECHNICAL, SUPPORT Et 70 Relative 1)f 1'mduxt Humidity When fA1P( _ - _ Average Condensation ANUERSF,NsWINDOWSANDGI.IDING ADPear°°" lnsiaeclaaa stand: llnil"U" llnil"R" shading Innermost Surface tPSted PATIDDODRS Yalue Vatue Coefficients' GlassSurfacex Temperature Type ofGtaLlnR Pacht SINGLE GLAZED batch.' i'refinished BasemenUU[ility 11M 96 l W 1270 l4°F Single-Pane Glass SpeCjfl Yet the DOABLE-PANE INSULATING GLASS manuf: 14rma-Shields CasemenVAwning, Perms-Shields' repreS~ I;fidinq. Pernta-Shields Narrnline lMuble-Hung, 52 19 69 3570 41°F Uouble-Pane lnsulatin GUs ~ SIN Primed Casement repreS. Ihrma Shields Gliding Patio Uoor, White and Double-Pane Tempered theses li~rrahmea All Sizes .49 2.0 .89 38"/ 43'F Insulating Glass averag: mtaShirid~t an caning Picture Windows .49 27f 3856 43 ou e- ane Insulating Glass Control Primed Casement Picture Windows, Perms-Shield these fl Narrnine Picture Windows, Perms-Shields the bey Circle Top Window .47 2.l .89 3890 43'F Uouble-Pane Insulating Glass results DOUBLE,-GLAZED laboratc In a pro. 1'rcfinished BasemenVUlility 48 2l 89 38'fr 43"F Single-Pane Glass With RGl'~ Derma-: HIGH-PF.RFORMANCEINSULATING GLASS' n.e n.esua rateaf. 1'erma-Shields and Frenchwnod'" Gliding Patio Doors, Uouble-Pane HigMlhdmmanv 1'erma-: _W'hite and TerratoneQO All Sizes .33 3.U .72 .34 5170 51"F Tempered Insulating Glass _ GRAD Derma-ShirldAO Narrnline Picture Window, Ihrma- Uouble-Pane Iligh-1'ednrmnnrr ShieMs Casement and Awning Pidure Windows .31 3.2 .72 .34 61r3e 51"F Insulating Glass I'rclimin Ihrma-Shields Casement and Awning Ven[, test pres. I'erma-Shields Nmmline Venl, Derma-Shields Double-Pane High-fhdrrcmanr damage. Circle 7bp Window .30 3.3 .72 .38 5390 62'F Insulating Glass _ Operaliq TRIPLE-GLAZED Air In(ilG - at [es( p Ihrma-Shields Narrolirtes Uouhle-Hung, Uouble-Pane lnsulatinR(;Us+ Whter Per IhrmaShields Gliding Window .32 3.1 .78 - 61`R Sl"F With Combination Unit _ pressure~ Ihrma-Shields Casement, Derma-Shields Awning, Double-Pane lnsuUling GUss ps0 1'nmed Casement .32 3.l .78 - 51'fi 51°F With RGPI Structura Uouble-Pane High lhdormarcr pressure Insulating Glass With psU ISrrmaShiclds Na[mline Wilh Ccmbination Unil .22 4.5 .67 .45 6170 56`F Combination Unit ~µ'ith options Ihrma-ShieidsEasement and Awning Vent Unit Llouble~PanelliRh~I'ed~Rmann IIFATG With RGl' .22 4.5 .66 .44 6170 56°F Insulating Glass With Rfl'! In tltnse st rust, glazir ROOF WINDOW . _ ' rnnsiderati Uouhle-Pant Tempcrr4lliRh ~ f~ heal gains i Rrrof Window (a145°angle-12112 pitch) .38 2.6 .72 .37 4690 48'P Pedortnarwe Insulating Gho MARIMC Hwd Window (at 45°aoRle-12/12 pitch) Uouble-Pane Temprredllmh _ With Closed Blinds .3A 2.9 .72 .37 NIA NIA Performance lnsuUtinRhMs j, CLEAR i WINDOW BLINDS SinHle-Pa Ihrma-ShieldAO Casement and Awning ' Cax•nrrnG With Closed Blinds .46 2.2 - - NIA N/A Double-Pane lnsuUling hhrr ~ Gliding W'ir Petma~Shields Casement and Awning Vent llnils Uouble-Pane lliRh-i'hdrman nxmt, fuse Wdh Closed Blinds .28 3.6 - - NIA NIA Insulating Glass Single-Par Ihrma Shields Casement and Awning Picture Window Uouble-Pane lligh~fl•rlnrnw'r ~ ' ; I'n+t-.1'S Gh ?nits With Closed Blinds .29 3.5 - - N/A NIA Insulating Glass _ # IMuble-Pa Uouble-Pane high-Ihdrmin 4',~ l!nitr. I'S N:. Ihrma-Shields Casement and Awning Vent llnils Cnavnenl,t tVdh Closed Blinds .2l 4.8 - - NIA N/A Insulating Glass WiIA REP' Gliding l5'im b Can~rncnC F lhr aMwe figurer assume the following: Outside Temperature-11 Degrees F ~ Air Conditioning F.nginecrs (198611andbwk of Fundamcntalsl ' ~ U~.n. (irt9e Inside R«rm Temperature-70 Degrees F Outside Wind Yelaity-16 MPH, Nn Air 1. The shading coefficients listed above may vary (tor-I a few prrrrnlaR^ ti w IMuble-1'an \Lwcment Inside and Uniform Heating Conditions; N/A-Not Applicable For shading coefficients on specific size units contact Andersen Corprcal"" Imulrling 1 hr alxrvr figures are based on manufacturers information. 1'he "U" values stated 2. Inside glass surface temperatures for determining 9; of relative humdArn 1!nilc PS Na taken from center of glass. midrr the heading "AVE.RAGE" are intended as a guide to the "U" values of units in ~ Cas nusu, 1': parfindu product lines and not as fire"ll"value o[a specaic product size. 3. Allfigures per[aining[e high-Ihr(ormance lnsuUtinR glass also apply lnll~ N'inrlow: I'S( hv~flimres have been determined by using an adjusted mathematical calculation I'ed°rmance Sun Insulating glass. i? Iw„,r. Cir~ac~ 1 RGP = Rcnvrvable Glazing Panel. L ar +1" I;lidir I h~nn lhr ASIIRAF.prcx:edures-American Sodely o(Ifeating, Relrigerating, and Rhn'.~'Ihal f. a N' - r ,--~ 1~~~ -2~ ~~ _ ~ .;, TOWN OP SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT _~-~' ,.ti )u '~ ~, I,~t~~%al~; ~ H Cam- ~. ~ =f ~ ~ N e,,T ~ ~ CSC FORMER OWNER ~' N / ) ~ , ~ i' _ E d c4 s c 05: ACR. r l _ r-- S W TYPE OF BUILDING RES. SEAS. VL. ~~ FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS/l~~/~~f/Q/ ~" Hrf~~7 /aft T f ~~10.~'` _. _._~O I br) <! '",': ~. ' I . ~ ,.Nab/ocs~ Ta / ~a:i~', ~ 4~ . / ~ ( / ~ / AGE _ _ BUILDING CONDITION NEW NCRMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland ~ FRONTAGE ON ROAD ~ `~ , ? <J Meadowland -- - _I - DEPTH _ ~ -" House Plot Totol i ~ BULKHEAD DOCK COLOR TRIM - - - - - - ~ t_ ~ M. Bldg. Extension - - - - t- ~ Extension - - - - I ~ Extension Foundation Bath - - I Dinette Porch ~ Basement Floors K. Porch Ext. Walls Interior Finish LR. Breezeway Fire Place Heat DR. Garage Type Roof P.ooms 1st Floor GR.` Patio i Recreation Room Rooms 2nd Floor FIN. B p, g, Dormer Drivewoy Total - - - - ~r11a1~1rrphlgrl tir.rr~l ~ ! TUWN CLERK ! ~rowx or souTUOLD 8n[folk County, New York 516 - 765-1801 Ne 32231 ~ , Southold, N. Y. 11971 ~c~~ ~ _19 RECEIVED OF ~i~ ~-`~z,kJ _ j 7,-z.i ~i i Foe ~~J' ~o~~~naN , ~c~~~ ~~.L~- 1 Judith T. Terry, Town Clerk i Caek ? t:heck~g'N/6.S-/` By~,,:~c«~ ~n-n.~--f i -1 P~~v I~ i~ ~~a 'ii'i 'S(9 Q0 ~L~ p e s *oy \ p~ / VQ ?4pQ/v / % o / oaf i/ i Q i { ~ w / M~ \ ag ~ / tO I m h / ( / V ~~4 Z \ `q` / ~ J / V 1 A t i ~ ~ ~ c ~ a _ V ~ 2 .e\6.g, nrt' rs int. '°o,~ `V fn q • h~ (j~}? ~e~ SURVEY OF ~ ~ 6~°` o~~ ~ ~ ~'R OIQL~R T Y ~ ~ A T Ol~IENT • TOWN OF SOUTHG,~t.D ~ SUFFOLK OOUNTy, N. Y. ~ o~ 1000 - 27 - 03 - 2:2 . ~titi ~ Scale 1" = 50' . June 14, 1989 OCT. 26 , 19891 FOUND.LOCATION) Z?ct. 19, 1990 (final) r'0~°°- H. S. REF. NO. 89 - SO - 79 N q`4<iT o 6~.Og- a~~~. /O-. Fe cox. ,1. Ni~~, N' oii eiw R ~ SUFFOLK COUNTY DEPARTiVENT OF HEALTH SERVICES e-'Y ~ Sl(~GLE FAMfLY DU+IELt.fNG ONLY p~Rr'kE DATEOEC `~~9~I.S. RCF. N0. 7g '~`r8yp The sewage disposal and c~afer ssppiy facilities for this location have been inspected by this Depariment and/or , ~ other a ncie and found to be satisfactory. AREA = 1.1894 acres Chef f Bureau of Wastewatef Management I CERF/f/£p TO AMERICAN TITLE INSURANCE COMPANY ~RP9U S~ ' t. MEP~cgLFL ~ 9 9 V ~ . S. LIC. NO. 49618 m r f Prspoad !n aooordanoa with Ma minhxum ~ N ORS, P. C. atandarda for Flt/b aurvaya ai safablilhsd (5 '~~1 4 by tha C.t.A.L.B ~}d approved and ado tsd P Igor such uas b TM Nsw York State Land .Tlt/s Aasodiatlan. MAIN SOUTHQLD, N. Y. 11971 I 89 - 27 ~~~'~y Ths water aupp/y and asways disposal /~„L_'~i systems /or th/a rsaidsnc. w1!! r Q to fhs standards o/ TAs Su/folk ~ A Department of Haa/th Sarviosa. '1"G1`~AO ~`gc~NTi QQ • r `Q. is s ~.7 ~`A~~ e I. 0'~!` Imo. eel F O ~ ~ pry ~ y'oo Off/ ~0 Q ~ N o~s \ / ~ ~ o~ ~ / \ ~ ~ / ~ I o& / a ~ \ ~ P 30 n/ ~O . m / ~ h ~ ~ ti~ ~,~0 i y M" O 0~ ~ j ~y fu ~ / ~ ~ 3e , ~v F ~et• r 9~9 ~ \0 0 ~ Q, ? m ~4 ~ 9NOgrl00 Cy~~34 ~Q "p~j ~e SURVEY OF 40, ti~ ~ a \o~o~ PROPRE~RTY A T O EN TOWN OF SOUTHOLD q° SUFFOLK COUNTY, N. Y. h" o~ 1000 - 27 - 03 - 2.2 ti" ~ Sca/e 1" = 50' ~ June 14, 1989 OCT. 26 , I989c FOUND.LOCATION) p.0 i i ,~aoa, g~ N B~, A4~F o ? G / ,~'9C og~ /o . FE coR. hiOf9NT~ /'t' e_r on sir / s F ~ ~~[jx, Bqr .o ~ ~ r 'qR~,y, FiQSyp NOSE ELEVATIONS ARE REFERENCED A A • TO ASSUMED DATUM. eROwN sxrr coAU AREA = 1.1334 acres BROR66SC " ~otg~vrE~. e• PV6LRY COA ~CO~AR8E TO . ND 7.~' rATER m PALE BROM7l CERTIFIED TO : coARa6 ro vERr SUFFOLK COUNTY t'IEPARTt~~kTIT ~ ~ALTH >8 AMERJCAN TITLE INSURANCE COMPANY COARSE sArn FOR APPROVAL OF CONSTRUCTION OKY l~• DATF H$ REF. NO L ANDc G9~ F AppROv® k., 5 P ~,s: ° •f +F f ' - S. LIC. NO. 49888 Prepared /n aocordanos with the min/mum E' F Et P.C. standards for tlt/s'surrsya as satab/lahsd by the L./.A.L. and approved and adopted (518) for such use by The Nsw York Stafs Land P. O. B Title Assoc/anon. MAIN ROAD Tha /ooatlons o? wsNa and asnppooo/a shown Mroon ate from t/eM SOUTHOLD, N. Y. 11971 obss va Iona and or tram dah obta/rrod hom others. 89 - 275 ' D ' The watsr supply and sewage dfapo~a! , ay~tsma for th/a rsa/dsnoe wf// oon/orm Qp to the atanduda o/Ths Suf/olk bounty ,rC'T Deputmsnt of Nea/eh Ssrvioea. ,7~~Q ~I pgNr/ QQ ~ ,nR ~ r~FFT p~ 2 em +o~ <C~~ Ore ~p~ ~ $`-'"'e` ~ ~ ~~°o°, w ~ Q ~ p~~ . ~ a`~ ~ OV 4 q S ~8 Q ~ ~r~; ~ Y ~ a a ; ,~o a a ~o 0 l ~ i w2` ~ ~ ~ e o O~ ~ ~ _ ~ ~V~ l ~u ~4 40 r ~ s ~ , 2 ~"'Rop ~ o~ 9: ~ UR Y OF .e /~_Y'A/ Cct . , . YS/~.- atrt _ ,eL~*, v#; II ~ ~ _ _ t, 0 0 ` n~,p ~ _ _ ~ A T ORIEN T ~';u',~..r TO INN OF SOUTHOLD 9° ~o ~/ate SUFFOLK COUNTY, N. Y. h Sca/e 1" = 50' " ? ~ June 14, 1989 1 . niWY n'Q ptl~,as~ wart: , 8,,, ~p`<F~,N ~ !t is the applicant's responsibility to ~I'q" cg, ro. ' aE coR. maintaifl ad8gUatB sar?itary dtst,~nce c'9N ~y ,oN t+xeeR att water su,.,,iy and ,,ewagt? ,t,~s ~vio~~ r~ dn. Eiw pasat iacitities. 8q Y ~~'~rti ' ~sy~ Q MO 6 ELEVAT/ONS ARIF R8F6IP~ICF OT~ BgQMN 3YATY LOAM To As3uMEV vArun~ Requires se~iie tank ~ a ~ s°'n toil r s• AREA = 1.1334 acres sod E ro cower to grade. ~ SfNGLE FAMILY DWELLING ONLY ~~+.ES~ TWO YEARS FROM DATE OF APPROVAL w~rr.R a, v~tE aROwR CiE~TIFJED TY9 ~ COARBE TO VERY f eu~ouc Courn'Y t?~l~~T ~ ~T~'~ $ AME'R/CAN JYTLE 1N3URANCE COMPANY `~O''R'~ 3AND I[ fOR APPROVAL OF CONS?RUCTION ON.Y F pA~HS REF. N0 0 7 Q - f APPROV® ,i V9G e 91t~iL~ ~ - ~l. .5. LIC. NO. 48886 } Prs usd In aooor ancs with the mlMmum ~ ~ ~ ~ i' ! t061 ~ e, L~.3~3 N t/ Y s, P.C. atandudi for tit/s~urvsyi as satabNahed i~ ~ ~ ~ ~ t~ i l ( .-4 O i by Me L./.A.L. an roved and adopted ~ ~k C+~ P for such was by Ths Ksw York State Lind ~ MA/ Tltfs Aaaoofahon' The /oorNona of wsMa and qe~ hown i~ as hom thNd , obasrra ona and or fro ' to ` om b SOUS • Y. 11971 E ~fl ~ ?7fi